Sleep Patterns and Depression in Mothers and Fathers of Twins

双胞胎母亲和父亲的睡眠模式和抑郁症

基本信息

批准号：
7245990
负责人：
ELIZABETH G DAMATO
金额：
$ 23.18万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-01 至 2010-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7245990
关键词：
Adverse effects Affect Age Area Bed rest Behavior Behavioral Biological Birth Caring Child Child Care Child Rearing Cognitive Counseling Data Data Analyses Data Collection Depression screen Development Disruption Effectiveness Emotional Emotions Employment Epidemiologic Studies Family Fathers Fatigue Feeding Methods Frequencies Future Gold Hospitals Infant Infant Care Intervention Intervention Studies Investigation Left Life Link Longitudinal Studies Maternal Behavior Measures Mental Depression Methods Modeling Mother-Child Relations Mothers Numbers Parenting behavior Parents Pattern Perception Play Population Postpartum Depression Postpartum Period Postpartum Women Premature Infant Prevalence Primary Health Care Provider Recruitment Activity Relative (related person)Reporting Research Research Design Rest Risk Role Sampling Sleep Sleep Deprivation Sleep Disorders Source Standards of Weights and Measures Testing Tetradecanoylphorbol Acetate Time Twin Multiple Birth Visual Analogue Pain Scale Wakefulness Week Wrist actigraphy approach behavior awake base brain electrical activity caregiving diaries experience feeding innovation insight instrument maternal depression parity preference prevent sleep onset social statistics

项目摘要

DESCRIPTION (provided by applicant): Sleep Patterns and Depression in Mothers and Fathers of Twins The demands of early parenthood and their impact on the ability to obtain rest and sleep are exponentially high for parents of twins. Mothers of twins are at particularly high risk for depression, and sleep restriction may play a role in this increased risk. Twin births have continued to rise over the last 25 years, increasing the number of parents at high risk for partial sleep deprivation, also known as sleep restriction. Moreover, over half of twins are born prematurely and thus require more vigilant care. Sleep restriction results in a cascade of negative effects for families of twins. Unrelenting infant care demands of two high-risk infants result in a lack of time for parents' personal needs, including the need for sleep. Free time that a parent may have to rest is obliterated by the need to care for a second infant. For many families, help from relatives is short-lived, and financial constraints preclude the ability to hire someone to provide assistance with child care. Additionally, sleep restriction is linked to depression and fatigue in postpartum women, which affect parents' ability to meet childrearing demands. Maternal depression has adverse effects on the quality of mother-child interactions and is associated with significant long-term negative effects on infants' cognitive and behavioral development. Fathers, as well as mothers, are at high-risk for sleep restriction because fathers often are actively involved in assisting mothers of twins with childrearing demands while also meeting their own employment responsibilities. The aims of this descriptive longitudinal study are to: (1) describe maternal and paternal sleep patterns during the early childrearing period for parents of twins, (2) examine relationships between sleep pattern data and parental depression, perceptions of fatigue, and quality of sleep when the twins are 40 weeks post- menstrual age and at 8 and 12 weeks post-twin discharge, (3) determine the effect of potentially related contextual variables (method of delivery, antepartum bed rest, infant feeding method, consolability of the twins, post-menstrual age, sleeping arrangements, care-giving assistance, parity, and employment) on sleep patterns, and (4) identify strategies parents use to increase their sleep. A sample of 85 mother/father pairs will be recruited from three hospitals. Actigraphy and sleep diaries will be used to measure sleep patterns; standardized instruments will be used to measure depression, fatigue, and quality of sleep. Related contextual variables and strategies parents of twins report as helpful to increase their sleep also will be assessed. Analyses will include descriptive statistics and multivariate mixed model analysis with repeated measures. Results from the proposed study are needed as they will contribute important information to identify mothers and fathers of twins at highest risk for sleep restriction and the possible resulting sequelae of depression and fatigue. Identifying compensatory strategies that parents of twins report as helpful to increase their sleep will provide preliminary information for a future intervention study to evaluate and test an intervention that minimizes sleep restriction to allow for optimal parenting of twins. The high demands of caring for newly born twins, many of who are born prematurely, prevent parents from obtaining adequate amounts of sleep and rest. Inadequate sleep hinders parents' ability to provide optimal care for their high-risk infants. The proposed project will examine relationships between sleep and depression and fatigue in mothers and fathers of twins and identify useful strategies to be tested in a future study to minimize sleep loss and its adverse effects.

描述（由申请人提供）：双胞胎的母亲和父亲的睡眠方式和抑郁症的早期父母的要求及其对获得休息和睡眠能力的影响对于双胞胎的父母来说，这是指数级的。双胞胎的母亲患抑郁症的风险特别高，睡眠限制可能在这种增加的风险中发挥作用。在过去的25年中，双胞胎的出生持续增长，增加了部分睡眠剥夺风险高的父母人数，也称为睡眠限制。此外，超过一半的双胞胎过早天生，因此需要更加警惕的护理。睡眠限制会导致对双胞胎家族的负面影响。两名高风险婴儿的不懈婴儿护理需求导致父母的个人需求（包括睡眠需求）缺乏时间。父母可能必须休息的空闲时间因需要照顾第二个婴儿而弥补。对于许多家庭而言，亲戚的帮助是短暂的，财务限制排除了雇用某人提供儿童保育协助的能力。此外，睡眠限制与产后妇女的抑郁和疲劳有关，这会影响父母满足育儿需求的能力。孕产妇抑郁症对母子相互作用的质量产生不利影响，并与对婴儿的认知和行为发展产生重大的长期负面影响有关。父亲和母亲都处于高风险的睡眠限制下，因为父亲经常积极参与协助双胞胎的母亲满足育儿的需求，同时还承担了自己的工作责任。这项描述性纵向研究的目的是：（1）描述双胞胎父母的早期育儿期间的母亲和父亲睡眠方式，（（2）检查睡眠模式数据与父母抑郁症的关系，对父母的抑郁症的感知，对疲劳的感知以及双胞胎在两周后40周的年龄以及两周后两周和两周的遗产（3）的变化（3）的变化（3）（3）的变化（3）床休息，婴儿喂养方法，双胞胎的可固定性，月经后的年龄，睡眠安排，护理援助，均等和就业方式）以及（4）确定父母用来增加睡眠的策略。将从三家医院招募85个母亲/父亲对的样本。精力学和睡眠日记将用于测量睡眠模式；标准化仪器将用于测量抑郁症，疲劳和睡眠质量。双胞胎报告的相关上下文变量和策略对增加睡眠有帮助。分析将包括描述性统计和以及重复测量的多元混合模型分析。需要从拟议的研究中的结果，因为它们将贡献重要的信息，以确定双胞胎的母亲和父亲的睡眠限制风险最高以及可能导致的抑郁和疲劳后遗症。确定双胞胎父母报告有助于增加睡眠的补偿策略将为以后的干预研究提供初步信息，以评估和测试一种最小化睡眠限制的干预措施，以允许双胞胎的最佳育儿。照顾新生双胞胎的高需求，许多人过早出生，阻止父母获得足够的睡眠和休息。睡眠不足会阻碍父母为高危婴儿提供最佳护理的能力。拟议的项目将研究双胞胎母亲和父亲的睡眠与抑郁与疲劳之间的关系，并确定在未来的研究中进行测试的有用策略，以最大程度地减少睡眠损失及其不良影响。